Marguerite Hilda Burtis, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11228 Issued in TX

Practice address

5925 Forest LN
Ste 136
Dallas, TX 75230-2712

Phone

(972) 661-5157

Fax

(972) 661-5173

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burtis&Noel Speech-Language Center, Inc

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1992923387
  NPD (past) Authorized official
• Burtis Speech-Language Center, Inc

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1487089975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457467706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "STE 136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-661-5157",
            "fax_number": "972-661-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "STE 136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-661-5157",
            "fax_number": "972-661-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTIS",
        "first_name": "MARGUERITE",
        "middle_name": "HILDA",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503898",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "87010T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004355472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burst Dental Alpha PLLC
• Ezra Burstein, MD
• Eleanor Lynn Burt, LCSW
• Madison Burtch, PT, DPT
• Burtis Speech-Language Center, Inc
• Burtis&Noel Speech-Language Center, Inc
• Burton Shepherd, LPC
• Schavonda Burton-Johnson, LPC
• Anna Burton, SLP
• Caitlin Burton, PHARMD

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.